India Telemedicine Market Analysis Sample Report

India Telemedicine
Market Analysis
A sample report on
www.insights10.com
Includes Market Size, Market Segmented by Types
and Key Competitors (Data forecasts from 2022 – 2030F)

This report presents a strategic analysis of the India Telemedicine
Market Analysis and a forecast for its development in the medium and
long term. It provides a comprehensive overview of the market value,
dynamics, segmentation, main players, growth and demand drivers,
challenges & future outlook, etc. This is one of the most comprehensive
reports about the India Telemedicine Market Analysis, and offers
unmatched value, accuracy, and expert insights

3
A Sample Report on India Telemedicine Market Analysis Analysis I Confidential
Report Scope
Report Attribute Details
Number of Pages 70-80
Base Year for Estimation 2022
Forecast Period 2023-2030
Report Coverage
Market Overview, Revenue Forecast, Market Segmentation, Growth Factors and Trends,
Competitive Landscape, Key Company Profiles, Government Policies, Regulatory Landscape,
Reimbursement Scenario
Quantitative Units Revenue in USD Million/Billion (Mn/Bn)
Research Approach Secondary Research (60%), Primary Research (40%)
Click on the icon to know the detailed methodology

4
Table of Content
CONTENT PG. NO.
1. Telemedicine Overview 12-25
1.1. Overview
1.2. India Overview
1.3. Economic Overview: India
1.4. Telemedicine Market in India
1.5. Digital Health Market in India
1.6. Healthcare Scenario in India
1.7. Health Insurance Coverage: India
1.8. Budget of the Government for Public Insurance
1.9. Mergers and Acquisitions
2. Market Size and Forecasting 26-33
2.1 Market size and forecasts (Excel and Methodology)

5
Table of Content
CONTENT PG. NO.
2.2. Market Segmentation
2.2.1. By Component
2.2.2. By Type
2.2.3. By Application
2.2.4. By Delivery Mode
2.2.5. By Deployment Mode
3. Market Dynamics 34-38
3.1. Market Growth Drivers
3.1.1. India has the concept & acceptance of Telemedicine long back before the pandemic
3.1.2. In India, the smartphone penetration rate is increasing exponentially
3.1.3. Telemedicine can be a proven boon for India to utilize its limited resources
3.2. Market Restraints
3.2.1. Limited access to Internet in Rural areas
3.2.2. Threat of Cyberattacks in the medical records

6
Table of Content
CONTENT PG. NO.
3.2.3. Virtual consultations are not trusted
4. Competitive Landscape 39-48
4.1. Major Market Share
4.2. Key Company Profile
4.2.1. Practo
4.2.1.1. Overview
4.2.1.2. Product Applications & Services
4.2.1.3. Recent Developments
4.2.1.4. Partnerships Ecosystem
4.2.1.5. Financials (Based on Availability)
4.2.2. 1mg
4.2.2.1. Overview

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Table of Content
CONTENT PG. NO.
4.2.3. TeleVital
4.2.3.1. Overview
4.2.4. DocOnline
4.2.4.1. Overview

8
Table of Content
CONTENT PG. NO.
4.2.5. Rijuven India
4.2.5.1. Overview
4.2.6. Portea Medical
4.2.6.1. Overview

9
Table of Content
CONTENT PG. NO.
4.2.7. Express Clinics
4.2.7.1. Overview
4.2.8. Lybrate
4.2.8.1. Overview

10
Table of Content
CONTENT PG. NO.
4.2.9. Lybrate
4.2.9.1. Overview
4.2.10. MediBuddy
4.2.10.1. Overview

11
Table of Content
CONTENT PG. NO.
5. Reimbursement Scenario 49-57
5.1. Reimbursement Regulation
5.2. Reimbursement Process for Diagnosis
5.3. Reimbursement Process for Treatment
5.4 Reimbursement Process – Medicare
5.5 Reimbursement Process - Medicaid
6. Methodology & Scope 58-64

India Telemedicine Market Analysis Analysis
1. Telemedicine Overview

13
1.1 Statistics at a Glance: The Scenario of Telemedicine in the World
Scope of Telemedicine ▪ Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the final
report
▪ In this section you will get an
understanding of the topic, which includes
the prevalence of the disease, the
application of medical devices, new
technology, and other details related to the
topic
▪ In order to obtain access to all of the
information that you are seeking, you will
need to purchase the final report
▪ Final report will be comprehensive and
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
70%
Of the countries are
expected to adopt
telemedicine by 2024
52%
Increase in the use of
telemedicine access in the
APAC region
68%
Of the physicians reported to use
the telemedicine practice
according to a survey
$1 to $30
Average out of pocket
was paid per telemedicine
visit
147 per 1000
Telemedicine visits took
place post- COVID in
Canada in rural areas
42%
Of the telemedicine users
were extremely satisfied with
the service according to a
survey

14
1.1 Statistics at a Glance: The Scenario of Telemedicine in the World
(continued)
North America
~ Market Size of
$xx Bn
Europe
~Revenue to reach
$xx Bn by 2027 Asia
-Fastest CAGR of
xx%
Africa
~Market Size of
$xx Bn
India Market
~$xx Bn Market
Illustrative

15
1.2 India Overview
1.41 Bn
is the population of
India, in 2021
28.2 years
is the median age
in India, in 2021
$3,176 Bn
is the Gross
Domestic Product
(GDP) in India in
2021
$5,402 Bn
per capita was the
amount of national
health expenditures in
2021
▪ Please be aware that this sample report is
report
understanding of the demographics of the
country/region, which includes the
population, GDP, healthcare expenditure
and other details related to the topic
interest

16
1.3 Economic Overview: India
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
Population of India, (2020-2030)
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
GDP of India, (2020-2030)
Population Split (2023)
55-64
0-14
15-24
25-54
65+
Male
49%
Female
51%
By Age Group
By Gender
▪ In this section you will get an understanding of the demographics
of the country/region, which includes the population, GDP,
healthcare expenditure and other details related to the topic
▪ In order to obtain access to all of the information that you are
seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will
include data, analysis, trends, and other relevant information
related to the topic or subject matter of interest
Illustrative

17
1.4 Statistics at a Glance: The Scenario of Telemedicine in India
Scope of Telemedicine
▪ Please be aware that this sample report
is intended to provide you with a brief
analysis that will be presented in the
final report
understanding of the topic, which
includes the prevalence of the disease,
the application of medical devices, new
technology, and other details related to
the topic in India
information that you are seeking, you
will need to purchase the final report
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
subject matter of interest
170,000
Teleconsultations in a single day were observed through an app e-sanjeevani
81%
Of doctors in Northern India have adopted telemedicine
500%
Increase in telemedicine services post- COVID in India
25%
Is the percentage of user base in India
31%
Increase in the telemedicine market is expected in India
National Health Stack & National Digital Health Blueprint
Are the recent documents to create a national digital health infrastructure

18
1.5 Digital Health in India
xx xx xx xx xx xx xx xx xx
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
India Digital Health Market Forecast, 2022-2030 (in $Bn)
▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be
presented in the final report
▪ In this section you will get an understanding of the overall Digital Health market in India, which includes the market size, current trends and
other details related to the topic
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or
Illustrative

19
1.6 Healthcare Scenario in India
Telemedicine Portal Development Process: The process of developing a cancer drug is complex and involves many stages, from preclinical
research to clinical trials to regulatory approval. Here is a simplified diagram of the cancer drug development process:
o Preclinical Research: Researchers identify potential drug candidates and test them in the lab
o Phase 1 Clinical Trials: Small studies are conducted to test the safety and dosage of the drug in humans
o Phase 2 Clinical Trials: Larger studies are conducted to test the effectiveness of the drug in treating cancer
o Phase 3 Clinical Trials: Even larger studies are conducted to compare the new drug to standard treatments and evaluate its safety and
effectiveness
o Regulatory Approval: The drug is reviewed by regulatory agencies such as the FDA and approved for use in the US market
Fast Track
▪ Fast track is a process designed to facilitate the development, and expedite the review of drugs to treat
serious conditions and fill an unmet medical need
Breakthrough
Therapy
▪ A process designed to expedite the development and review of drugs which may demonstrate substantial
improvement over available therapy
Accelerated
Approval
▪ These regulations allowed drugs for serious conditions that filled an unmet medical need to be approved
based on a surrogate endpoint
Priority Review ▪ A Priority Review designation means FDA’s goal is to take action on an application within 6 months
FDA has developed several approaches to making drugs available as quickly as possible, while still ensuring their safety and
effectiveness. Here are four of these approaches:
Illustrative

20
1.6 Healthcare Scenario: Patient Journey on Telemedicine Platform
Presentation Diagnosis Treatment Follow up
A suspected diagnosis is
usually made, based on
physical examination and
detailed patient and family
history
Prenatal screening/
Neonatal screening
Initial Diagnosis
Complete blood count
(evaluate number &
quality of RBCs, Hb &
WBCs)
Imaging (confirm bone
related changes or
respiratory problems)
Bacterial cultures of
blood, sputum, urine,
stool (detect any
infection)
Genetic testing (detect
the type of SCD)
Confirmatory Diagnosis
Prevention and management of
crisis:
• For VOC and Splenic
Sequestration: HU, Endari,
Adakveo, Oxbryta
• For infections: Antibiotics,
Vaccines
Prevention and management of
complications:
• Stroke: Chronic transfusions, HU
• Long term follow-up is required for
patients with SCD
• Annual assessment: CBC and
reticulocyte count, iron status, liver
and renal function tests, urinalysis,
LDH, vitamin D level and
neurocognitive assessment
• ESOD (End Stage Organ Damage)
evaluation starting from age 7
• Yearly Transcranial Doppler test to
determine risk of stroke
Stakeholders
PCP, paediatrician,
neonatologist,
haematologist and genetic
counsellor
PCP, pediatrician, medical geneticist,
hematologist, gynecologist and pathologist
PCP, pediatrician, medical geneticist,
cardiologist, hematologist,
endocrinologist, psychologist and
psychiatrist
PCP, pediatrician, neonatologist,
endocrinologist, cardiologist,
hematologist, orthopedist, psychologist
and psychiatrist
Depending on the organ complications,
the treatment involves different
specialists at different times
Illustrative

21
1.7 Health Insurance Coverage: India
1.0
18.9
18.4
35.7
2.5
3.5
10.2
54.3
66.0
91.7
8.3
VA and CHAMPVA
Medicaid
Medicare
Any public plan
TRICARE
Marketplace
Direct-purchase
Employment-based
Any private plan
With health insurance
Uninsured
▪ In 2021, most people (91.7%) had health insurance coverage at some point during 2021 and 8.3 % of people were uninsured for the entire
calendar year
▪ More people had private health insurance (66%) than public coverage (35.7%)
▪ Employer-based insurance was the most common subtype of health insurance in the civilian, noninstitutionalized population (54.3%),
followed by Medicaid (18.9%), Medicare (18.4%), direct-purchase insurance (10.2%), TRICARE (2.5%), and VA and CHAMPVA health care
(1%)
Coverage Type 2020 2021 Change %
Total 327,521 328,074
Any health plan 299,230 300,887 0.4
Any private plan 217,896 216,366 –0.6
Employment-based 178,737 178,285 –0.2
Direct-purchase 33,869 33,555 –0.1
Marketplace coverage 10,924 11,389 0.1
TRICARE 9,165 8,299 –0.3
Any public plan 112,925 117,095 1.2
Medicare 58,541 60,226 0.5
Medicaid 58,778 61,940 0.9
VA and CHAMPVA 2,967 3,151 0.1
Uninsured 28,291 27,187 –0.4
% of People by Type of Health Insurance Coverage
(2021)
Number of People By Health Insurance Coverage
Illustrative

22
1.8 Budget of India Government for Public Insurance
Proposed Budget By Category
Outlays 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2022-31
In Billions Of Dollars
Medicare $769 $709 $766 $841 $840 $947 $1,014 $1,085 $1,227 $1,178 $1,325 $1,412 $10,633
Medicaid $458 $521 $571 $582 $616 $645 $674 $698 $734 $768 $801 $837 $6,926
As % Of GDP
Medicare 3.7% 3.2% 3.3% 3.4% 3.3% 3.6% 3.7% 3.8% 4.1% 3.8% 4.1% 4.2% 3.7%
Medicaid 2.2% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.5% 2.5% 2.5% 2.5% 2.4%
▪ National Health Expenditures (NHE) grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP)
▪ Medicare spending grew 8.4% to $900.8 billion in 2021, or 21% of total NHE
▪ Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17% of total NHE
▪ Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28% of total NHE
▪ Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10% of total NHE
▪ Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14% of total NHE
▪ Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020
▪ Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020
▪ Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020
▪ Largest shares of total health spending were sponsored by the federal government (34%) and the households (27%). The private business share of health
spending accounted for 17% of total health care spending, state and local governments accounted for 15%, and other private revenues accounted for 7%
Illustrative

23
1.9 Mergers and Acquisitions
$6.0
$7.7
$10.5
$16.7
$6.8
$11.7
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
82
112 107 107
89
110
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
57% of the total deal volume are done by strategic buyers and the rest 43% are done by financial buyers in 2020
RCM M&A Deal Value Trend ($Bn) RCM M&A Deal Volume Trend
Buyer Composition: Strategic Vs Financial (2020)
59%
41% 41%
59% 58%
42%
61%
39%
$0- $25 $25-$50 $50-$100 $100+
Strategic Buyers
Financial Buyers
Buyer Type by Deal Size
($Mn)
Illustrative

24
1.9 Mergers and Acquisitions (continued)
Company Name Year Key Pointers
February
2023
▪ Virtual health company MediBuddy has acquired ‘vHealth by Aetna’, the Indian business of US-
based Aetna Inc.
▪ MediBuddy, founded in 2000, has built an integrated omni channel platform where customers can
book lab tests, consult doctors, and order medications seamlessly from the comfort of their homes
▪ Aetna’s telehealth business offers home delivery of medication involving delivery of medicines,
blood tests, and various healthcare products across 38 Indian cities
December
2022
▪ Digital healthcare platform MediBuddy has finally concluded its merger with DocsApp, a doctor
consultation platform
May 2023
▪ Hyundai Motor India Foundation launches 5 `Sparsh Sanjeevani' Telemedicine clinics in Odisha
▪ The telemedicine clinics are an extension of HMIF's social outreach initiative `Sparsh Sanjeevani'
that emphasizes making quality and affordable medical services accessible to rural India through
technology.
Latest Deals In India

25
1.9 Mergers and Acquisitions (continued)
Company Name Type
Amount /
Duration
Year Key Pointers
Merger March 2023
Merger Jan 2023
Latest Deals In India

2. Market Size and Forecasting

27
2.1 Market size and forecasts (Excel and Methodology)
XX
XX
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
India Telemedicine Market Forecast, 2022-2030 (in $Bn)
▪ Please be aware that this sample report
is intended to provide you with a brief
analysis that will be presented in the
final report
understanding of the overall Healthcare
Insurance market in Malaysia, which
includes the market size, current trends
and other details related to the topic
information that you are seeking, you
will need to purchase the final report
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
Click on the icon to know the
methodology and assumption
2023 2024 2025 2026 2027 2028 2029 2030
Major Markets Patient (Mn) 2.74 2.82 2.90 2.94 2.98 3.02 3.07 3.12
India Patient Size (Bn) 0.51 0.61 0.68 0.69 0.70 0.71 0.72 0.73
% of US Patients 18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45%
Global Market Size (Bn $) 3,620 3,780 3,950 4,128 4,314 4,508 4,711 4,937
India Market Size (Bn $) 61 74 84 87 91 95 99 106
Illustrative

28
2.2 Snapshot of Telemedicine Market Segmentation
▪ In this section you will get an understanding of the segmentations which will cover the India Telemedicine Market
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Component
Products
Services
Type
Tele-Hospitals
m-health
Tele-Home
Application
Tele-Radiology
Tele-Psychiatry
Tele-Pathology
General Consultants
Others
Delivery Mode
Web/Mobile
Audio/Text-based
Visualized
Call centers
Deployment Model
Cloud
On-Premises

29
India Telemedicine Market Share, By Component (2022)
▪ Products market in India is a significant
component of the overall telemedicine
market
▪ It has the maximum market share in India
telemedicine market with approximately
xx%
report
interest
2.2.1 Market Segmentation: By Component
Products
Services
Illustrative

30
India Telemedicine Market Share, By Type (2022)
2.2.2 Market Segmentation: By Type
▪ Tele-hospitals market in India is a significant
component of the overall telemedicine
market
▪ It has the maximum market share in India
telemedicine market with approximately
xx%
report
interest
Tele-Hospitals
mhealth
Tele-Home
Illustrative

31
India Telemedicine Market Share, By Application (2022)
2.2.3 Market Segmentation: By Application
▪ Tele-Radiology have the maximum market
share in India telemedicine market with
approximately xx%
report
interest
Tele-Radiology
Tele-Psychiatry
Tele-Pathology
General
Consultants
Others
Illustrative

32
India Telemedicine Market Share, By Delivery Mode (2022)
2.2.4 Market Segmentation: By Delivery Mode
▪ Web/Mobile have the maximum market
share in India telemedicine market with
approximately xx%
report
interest
Web/Mobile
Audio/Text-
based
Visualized
Call centers
Illustrative

33
India Telemedicine Market Share, By Deployment Model (2022)
2.2.5 Market Segmentation: By Deployment Model
▪ Cloud have the maximum market share in
India telemedicine market with
approximately xx%
report
interest
Cloud
On-Premises
Illustrative

3. Market Dynamics

35
3.1 Market growth drivers
▪ The demand is driven by income growth, more health consciousness and
diseases of the modern lifestyle, and broader insurance coverage
▪ This is driving the demand for online consultations and creating
opportunities for growth in the telemedicine market
▪ Please be aware that this sample report is intended to provide you with a
brief overview of the kind of information and analysis that will be
presented in the final report
▪ In order to obtain access to all of the information that you are seeking,
you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data,
analysis, trends, and other relevant information related to the topic or
2010 2022 2030
3.1.1 India has the concept & acceptance of Telemedicine long back before the COVID-19 pandemic. The Health
Ministry deployed a National Telemedicine Task Force in 2005 under MoHFW.
2 Cr+ Indians accessed healthcare online during COVID-19 crisis wave
Rate of Telemedicine healthcare demand
in India
Illustrative

36
3.1 Market growth drivers (continued)
Top countries that are leveraging
technology in the telemedicine sector
United States
Japan
Germany
South Korea
China
United Kingdom
France
Canada
Australia
Israel
Switzerland
Singapore
Sweden
Netherlands
Italy
Spain
Belgium
Denmark
Austria
Norway
3.1.2 In India, the smartphone penetration rate is increasing exponentially. It is expected to be 96% in 2040. There
has been a 39% rise in the average time spent by an Indian user on a smartphone for using financial, healthcare &
entertainment services
▪ With an increasing number of smartphone applications being
developed for healthcare delivery, the telemedicine market in
India is expected to expand
▪ Because patients can readily contact doctors through mobile
applications and web platforms, telemedicine services have
become more widely used
Illustrative

37
3.1 Market growth drivers (continued)
Fundings from government and other
organizations
3.1.3 Telemedicine can be a proven boon for India to utilize its limited resources. Telemedicine technology might
save India $4 Bn to $5 Bn per year and replace half of all in-person outpatient appointments in the country
▪ Resources can be pooled through remote analytical services
like teleradiology, tele-ICU, and tele-emergency, which leads
to cheaper costs and greater quality of treatment
▪ Please be aware that this sample report is intended to
provide you with a brief overview of the kind of information
and analysis that will be presented in the final report
Source Year Fund ($)
National Cancer
Institute (NCI)
2021 $ 6.4 Bn
Centers for Disease
Control and
Prevention (CDC)
2021 $ 501 Mn
American Cancer
Society (ACS)
2020 $ 150 Mn
Susan G. Komen 2020 $ 98 Mn
Illustrative

38
3.2 Market restraints
3.2.1 Limited access to Internet in
Rural areas. India has 159 Internet
service providers, meaning that
fewer than 2% of the population
has access to broadband
▪ Poor internet infrastructure in
remote and underserved regions
can hinder the widespread
adoption of telemedicine
services
▪ For computer-based patient
consultations, a minimum
Internet connection of 2 Mbps is
necessary, yet most communities
lack this technology.
3.2.2 Threat of Cyberattacks in
the medical records . In 2022,
there were 1.9 Mn cyberattacks
on the Indian healthcare sector
▪ One major factor is inadequate
data security in medical
organizations in India
▪ Another significant obstacle to
healthcare data security is the
lack of understanding among
healthcare professionals
▪ Maintaining the confidentiality
and security of patient
information is crucial to building
trust in telemedicine
3.2.3 Virtual consultations are
not trusted, and in-person
consultations are preferred
▪ Many people in India, especially
in rural areas, may have limited
awareness of telemedicine and
its benefits
▪ Building awareness and trust
among patients and healthcare
providers is crucial to driving the
adoption of telemedicine
Our analysis will thoroughly investigate the key restraints that may significantly impact business
operations and growth. Illustrative

India Telemedicine Market Analysis
4. Competitive Landscape

40
4.1 Major Market Share
XX
Other
▪ India telemedicine market is a highly
competitive space, with many companies
developing and marketing cancer
treatments
▪ Some of the top companies in India
telemedicine market based on revenue and
market share include
interest
Revenue of Major players in India Telemedicine Market
($ Mn)
Illustrative

41
4.2 Key Company Profile
▪ Here is the list of top 10 companies which
will cover in the final report
▪ Each company will have slides for
o Overview
o Key details
o Offerings
o Name of products
o Recent activities/ Press Coverage
o Distribution and Vendor Partners
o Mergers, Acquisitions and
Collaboration
o Financials
▪ If there are specific companies that you
would like to be included in the report,
please let us know via email
1 Practo
3 TeleVital
5 Rijuven India
7 Express Clinics
9 Lybrate
2 1mg
4 DocOnline
6 Portea Medical
8 Lybrate
MediBuddy
10
Key Note:

42
4.2.1 Practo
Founded in: 2008
HQ: Bangalore, India
Type: Private
Revenue: $36.4 Mn
Website: www.practo.com
▪ Practo offers detailed, verified information on more than a lakh
doctor partner nationwide and is available in a comprehensive
medical directory
▪ It provides online appointment scheduling with doctors that use
Practo Prime at more than 9,000 prestigious hospitals and clinics
▪ It also offers online consultations with reliable medical
professionals in 20+ specialties
Solutions offered by Practo
➢ Video Consultations
➢ Finding Nearby Doctors
➢ Medicines
➢ Lab Tests
➢ Surgeries
Software Indications
Practo Ray
Practo Ray is a practice management tool used by 50,000 doctors and 15,000 clinics in
Asia, including India, Singapore, Indonesia, and the Philippines. It manages 25 million
appointments and over 10 million electronic health records annually
Insta
Hospital information system called Insta HMS by Practo assists healthcare facilities—from
single-center specialized clinics to multi-center hospitals—in boosting revenue, maximizing
efficiency, streamlining processes, and minimizing inventory leakages
Software Offered
20+
Countries
30 Cr+
Patients per
year
1 L+
Doctor partners

43
4.2.1 Practo (continued)
Major Partnership
Partnerships Ecosystem
▪ Practo, under its Corporate Health Benefits program, has partnered with Spectra to provide digital healthcare
services for their employees across India
▪ Practo has partnered with Swiss Re, one of the world's leading reinsurance providers to extend digital
healthcare benefits to their 1800+ employees in India
▪ Practo has partnered with Figital Technologies to extend customizable health and wellness plans to its customers

44
Company Name Type Year Key Pointers
Collaboration May 2023
▪ Practo, India’s leading integrated healthcare company, announced that its
practice management software—Ray is now compliant with the
Ayushman Bharat Digital Mission (ABDM)
▪ Through this, all doctors and healthcare professionals who are currently
using Ray will be able to join the ABDM ecosystem and can avail all the
benefits provided by the government including the Digital Health
Incentive Scheme (DHIS)
Accreditation April 2023
▪ Practo, announced it has earned the prestigious Quality and
Accreditation Institute (QAI) accreditation for the high medical quality of
its telehealth services becoming the first digital healthcare company in
India to receive this recognition
▪ QAI is the first and only accreditation body in India that offers this
International Society for Quality in Health Care (ISQua) certified
accreditation on a global scale
Latest Deals - Mergers and Acquisitions

45
63.3
70.3 70.9
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
▪ Practo, reported a 188% revenue growth in
its Annual Letter FY 2021 – 22 with each
business segment reporting more than
100% growth
▪ The latest revenue by Practo was $36.4 Mn
▪ Revenue generated by Practo in 2020
reflects the company's continued growth
and success in the healthcare industry
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

46
4.2.2 Company 2
Founded in:
HQ:
Type:
Revenue:
Website:
Solutions offered by Company
Drugs Indications
Drugs for Cancer Recent Activity / Press Coverage
Illustrative

47
4.2.2 Company 2 (continued)
Major Distribution Partners Major Vendor Partners
Partnerships Ecosystem
Illustrative

48
Company Name Type
Amount /
Duration
Year Key Pointers
Latest Deals - Mergers and Acquisitions
Illustrative

49
xx xx xx
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
report
▪ In this section you will the understating of
financial overview of the company, which
includes revenue forecasting, segment
revenue and other key details as per
availability
interest
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

5. Reimbursement Scenario

51
5.1 Reimbursement Regulation
The reimbursement scenario in the India Telemedicine Market Analysis is
complex and can vary depending on the specific treatment, setting of care, and
insurance coverage. Here are some key points to consider:
▪ Medicare:
o Medicare is a federal health insurance program for people aged 65 and
older, as well as people with certain disabilities or health conditions
o Medicare covers many cancer treatments, including chemotherapy,
radiation therapy, and some immunotherapies
o However, coverage can be subject to strict guidelines and restrictions,
such as the requirement for prior authorization
▪ Medicaid:
o Medicaid is a joint federal-state program that provides health insurance
for people with low incomes
o Medicaid coverage for cancer treatments can vary by state, and may be
subject to limits on the amount and type of treatment covered
▪ Private Insurance:
o Private insurance coverage for cancer treatments can also vary widely
depending on the insurer and the specific policy
o Some policies may have high out-of-pocket costs, such as deductibles
and co-pays, while others may have more comprehensive coverage
Medicare and Medicaid together provide
health insurance coverage for more than
4 in 10 Americans
Medicare
17%
Medicaid
and CHIP
21%
Employer-Sponsored
49%
Other Private
3%
Other Public
1%
Uninsured
9%
Health Insurance Coverage, 2022
Illustrative

52
5.1 Reimbursement Regulation (continued)
▪ Affordable Care Act:
o Affordable Care Act (ACA) includes provisions to help improve access to cancer treatments by requiring insurers to cover
certain preventive services, including cancer screenings, without co-pays or deductibles
o It also includes protections for people with pre-existing conditions, such as cancer
▪ Reimbursement for New Treatments:
o Reimbursement for new cancer treatments can be a complex and lengthy process, as insurers and government programs
often require evidence of safety and effectiveness before providing coverage
o This can create challenges for companies developing and marketing new treatments
▪ Value-Based Care:
o There is a growing trend towards value-based care, which aims to improve outcomes and lower costs by focusing on the
value of treatments rather than simply the volume of treatments
o Value-based care models can include payment models that tie reimbursement to outcomes or performance metrics
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

53
5.1 Reimbursement Regulation (continued)
Coverage Penetration (% Total Population) Source of Funding
Spend on Healthcare (%of Current Health Expenditure)
Reimbursement Market Trends
 Public healthcare coverage is provided by the government and includes programs like
Medicare and Medicaid
 Medicare is a federal program that provides healthcare coverage to individuals who
are 65 years of age or older, as well as certain younger people with disabilities
 Medicaid is a joint federal-state program that provides healthcare coverage to
individuals with low income and limited resources
▪ Shift towards value-based care has been a significant trend in the US healthcare system, with payers and providers increasingly focused on improving patient
outcomes and reducing costs
▪ This has led to the development of alternative payment models such as accountable care organizations (ACOs) and bundled payment arrangements, which
incentivize providers to deliver high-quality, cost-effective care 38.9%
37.1%
35.6%
32.5%
31.5%
44.0%
46.0%
47.7%
51.0%
51.8%
2017 2018 2019 2020 2021 2022 2023
Government Expenditure
Private Health Insurance
Out of Pocket
Other
NA NA
100% 100% 100% 100% 100%
xx xx xx xx xx
2012 2013 2014 2015 2016
Public Healthcare
Coverage
Private Coverage
6.3% 4.08% 5.1% 3.8% 2.2% 2.4% 3.6% GDP Growth (yoy)
14.7% 11.3% 15.5% 7.5% 4.2% NA NA HC Spend Growth (yoy)
Illustrative

54
5.2 Reimbursement Process for Telemedicine
The reimbursement process in the US healthcare system can be complex and can vary depending on the type of healthcare service,
the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the
service provided
▪ Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for
reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential
errors or fraud
▪ Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service
provided, based on the negotiated payment rates or fee schedule
▪ Patient Responsibility: Depending on the patient's insurance coverage, they may be responsible for paying a portion of the cost
of the service, such as deductibles, co-payments, or co-insurance
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

55
5.3 Reimbursement Process for Telemedicine
The reimbursement process in the US healthcare system can be complex
and can vary depending on the type of healthcare service, the healthcare
provider, and the insurance coverage. Here are the general steps involved
in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a
service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance
company or other payer, requesting reimbursement for the service
provided
▪ Adjudication: The insurance company or other payer reviews the claim
to determine whether it meets the criteria for reimbursement. This can
involve verifying the patient's eligibility, reviewing the treatment
provided, and checking for any potential errors or fraud
▪ Payment: If the claim is approved, the insurance company or other
payer reimburses the healthcare provider for the service provided,
based on the negotiated payment rates or fee schedule
FDA
Private Payers Public Payers
Health Technology Assessment
Payment
Coverage
Coding
Coding depends on availability code while coverage and
payment process decisions are made through an HTA.
Market Authorization
1 3
2
Illustrative

56
5.4 Reimbursement Process - Medicare
Medicare
Population Covered
▪ 100% population is covered under this scheme
▪ Citizen’s contribute to this scheme which then earns an interest. There is Basic Healthcare Sum (BHS) cap which limits the maximum contribution to an
individuals Medicare account
Provider Restrictions/
Selection
Services can be claimed from Medicare-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicare and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicare account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicare account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicare up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

57
5.5 Reimbursement Process - Medicaid
Medicaid
Population Covered
▪ 38% population is covered under this scheme
▪ Medicare covers individuals who are aged 65 and older, as well as those with certain disabilities or end-stage renal disease
Provider Restrictions/
Selection
Services can be claimed from Medicaid-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicaid and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicaid account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicaid account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicaid up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

6. Methodology & Scope

Research Methodology
▪ Insights 10’s research methodology delves deeper into the market, covering the macro and micro aspects of the industry. We identify the
key growth drivers, opportunities, and restraints that might promote or hinder the future industry growth along with an expansive
overview of the competitive landscape to help our clients make informed strategic decisions
▪ We implement a mix of primary and secondary research for our market estimate and forecast. The secondary research forms the initial
phase of our study where we conduct extensive data mining, referring to verified data sources such as independent studies, government
and regulatory published material, technical journals, trade magazines, and paid data sources
▪ For forecasting, the following parameters are considered:
❑ Market drivers and restraints along with their current and expected impacts
❑ Technological scenario and expected developments
❑ End use industry trends and dynamics
❑ Trends in the consumer behavior
❑ Regulatory scenario and expected developments
❑ Current capacity and expected capacity additions up to 2030
▪ We assign weights to these parameters and quantify their market impacts using the weighted average analysis to derive the expected
market growth rate
▪ We appoint data triangulation strategies to explore different areas of the market. Our qualitative and quantitative assessments are time-
sensitive, reflecting the most recent value and volume of the market across regions
▪ All our estimates and forecasts are verified through exhaustive primary research with the Key Industry Participants (KIPs)
▪ Currency used in the report is the US dollar (USD), with the market size indicated in USD million/billion (Mn/Bn)

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